Level 2 · Patient worklist
Every patient on census with outreach, appointment status and the next action. Click a box to filter the list.
167 records match the current filters
| Patient | Tier / Owner | Setting & facility | Case mgmt | Admit / Discharge | Outreach | Appointment | Window | Status / Next action |
|---|---|---|---|---|---|---|---|---|
Priya Chandler M408659 · 67y · Mesa Family Medicine (399) 350-3400Returned | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Mar 20 | Mar 16 Mar 21 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 159d past | Readmit — no appointment |
Ingrid Haddad M484882 · 70y · Saguaro Care (321) 239-2921Returned | Critical Nurse | Inpatient Mercy General | No case No plan | Sep 21 Sep 25 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 336d past | Readmit — no appointment |
Gerald Petrov M470588 · 69y · Saguaro Care (419) 530-155760d readmit | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Sep 3 LOS 0d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Eleanor Tanaka M414863 · 63y · Saguaro Care (433) 393-111960d readmitReturned | Serious Nurse | ED Valley Baptist ED | No case No plan | May 22 May 22 | Not started — · 0 attempts | Not scheduled — | 97d past | Readmit — no appointment |
Eleanor Kowalski M464611 · 71y · Mesa Family Medicine (444) 409-7499 | Serious Nurse | Inpatient Valley Baptist | No case No plan | Aug 28 Sep 1 | Not started — · 0 attempts | Not scheduled — | 5d left | No outreach yet |
Callum Chandler M492418 · 83y · Saguaro Care (417) 385-662760d readmit | Serious Nurse | ED Valley Baptist ED | No case No plan | Jan 16 Jan 16 | Contacted Nurse case manager · 3 attempts | No-show Jan 21 · 1 miss | 223d past | No-show recovery |
Xiomara Whitmore M432118 · 62y · Mesa Family Medicine (355) 734-8072Returned | Critical Nurse | ED St. Aldon Regional ED | Case open Proj. DC Jul 7 | Jul 7 Jul 7 | Contacted Nurse case manager · 1 attempt | No-show Jul 11 · 1 miss | 51d past | No-show recovery |
Delia Kowalski M453517 · 73y · Saguaro Care (570) 556-1765Returned | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Sep 26 | Sep 22 Sep 25 | Unable to reach Nurse case manager · 3 attempts | Not scheduled — | 336d past | Readmit — no appointment |
Nadia Delgado M416807 · 63y · Saguaro Care (654) 610-4524 | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Aug 31 LOS 3d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Frank Nguyen M497017 · 63y · Mesa Family Medicine (610) 208-1205Returned | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Jan 11 | Dec 20 Jan 11 | Contacted Care coordinator · 1 attempt | Not scheduled — | 228d past | Readmit — no appointment |
Marcus Baptiste M413471 · 64y · Saguaro Care (515) 560-8470Returned | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Aug 22 | Aug 3 Aug 21 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 6d past | Readmit — no appointment |
Callum Whitmore M409571 · 80y · Mesa Family Medicine (219) 467-7032 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Oct 5 | Sep 26 Oct 5 | Contacted Nurse case manager · 2 attempts | Cancelled Oct 9 · 1 miss | 326d past | No-show recovery |
Jonas Rios M489735 · 85y · Mesa Family Medicine (281) 880-5906 | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Feb 1 Feb 8 | Contacted Nurse case manager · 2 attempts | No-show Feb 11 · 1 miss | 200d past | No-show recovery |
Hattie Ionescu M417530 · 64y · Mesa Family Medicine (610) 442-6766 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Apr 9 | Mar 31 Apr 9 | Contacted Nurse case manager · 2 attempts | No-show Apr 15 · 1 miss | 140d past | No-show recovery |
Rosa Guillory M428926 · 70y · Saguaro Care (490) 617-930260d readmitReturned | Good Care coordinator | Observation Mercy General | Case open Proj. DC Oct 27 | Oct 17 Oct 27 | Not started — · 0 attempts | Not scheduled — | 304d past | Readmit — no appointment |
Priya Delgado M441954 · 76y · Saguaro Care (468) 838-943860d readmitReturned | Good Care coordinator | SNF Ridgeway LTAC | No case No plan | Feb 15 Feb 26 | Not started — · 0 attempts | Not scheduled — | 182d past | Readmit — no appointment |
Otis Petrov M443192 · 73y · Saguaro Care (326) 396-1951 | Critical Nurse | SNF Ridgeway LTAC | Case open Proj. DC Jul 30 | Jul 9 Jul 30 | Attempted Care coordinator · 2 attempts | Not scheduled — | 28d past | Window missed |
Alma Ferreira M466311 · 90y · Saguaro Care (209) 844-2917 | Serious Nurse | Observation Mercy General | No case No plan | Apr 1 Apr 6 | Contacted Nurse case manager · 1 attempt | No-show Apr 9 · 1 miss | 143d past | No-show recovery |
Imani Salazar M419732 · 82y · Mesa Family Medicine (273) 334-5881 | Serious Nurse | SNF Willowbrook SNF | Case open Proj. DC Dec 19 | Nov 27 Dec 19 | Contacted Nurse case manager · 1 attempt | Cancelled Dec 27 · 1 miss | 251d past | No-show recovery |
Bernard Okafor M414454 · 88y · Mesa Family Medicine (703) 360-8119 | Serious Nurse | ED Mercy General ED | No case No plan | Apr 28 Apr 28 | Contacted Nurse case manager · 2 attempts | No-show Apr 30 · 1 miss | 121d past | No-show recovery |
Rosa Chandler M460685 · 63y · Mesa Family Medicine (370) 335-1520Returned | Serious Nurse | Observation Mercy General | No case No plan | Dec 19 Dec 27 | Contacted Nurse case manager · 2 attempts | No-show Dec 30 · 1 miss | 243d past | No-show recovery |
Cora Mbeki M447730 · 87y · Saguaro Care (249) 587-5916 | Serious Nurse | Home Health Comfort Care at Home | Case open Proj. DC Jul 17 | Jun 19 Jul 18 | Contacted Nurse case manager · 2 attempts | No-show Jul 26 · 1 miss | 40d past | No-show recovery |
Callum Nguyen M495380 · 74y · Mesa Family Medicine (692) 898-6635Returned | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC May 6 | May 1 May 5 | Attempted Care coordinator · 2 attempts | Not scheduled — | 114d past | Readmit — no appointment |
Rafael Haddad M432020 · 73y · Saguaro Care (685) 769-6672 | Good Care coordinator | Observation Northside Medical Center | No case No plan | Aug 15 Aug 23 | Not started — · 0 attempts | Not scheduled — | 4d past | No outreach yet |
Simone Mbeki M498688 · 83y · Mesa Family Medicine (353) 678-6734Returned | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Jul 19 Jul 22 | Not started — · 0 attempts | Not scheduled — | 36d past | Readmit — no appointment |
Jonas Ferreira M406993 · 64y · Saguaro Care (618) 714-6988Returned | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 14 | Jul 7 Jul 14 | Attempted Care coordinator · 1 attempt | Not scheduled — | 44d past | Readmit — no appointment |
Nadia Tanaka M487020 · 75y · Mesa Family Medicine (535) 606-6129Returned | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 27 | Jul 21 Jul 27 | Not started — · 0 attempts | Not scheduled — | 31d past | Readmit — no appointment |
Simone Baptiste M418336 · 63y · Mesa Family Medicine (374) 709-5192Returned | Good Care coordinator | Inpatient Mercy General | No case No plan | Apr 21 Apr 30 | Not started — · 0 attempts | Not scheduled — | 119d past | Readmit — no appointment |
Hattie Nguyen M481631 · 83y · Mesa Family Medicine (566) 619-2668Returned | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Aug 10 Aug 20 | Not started — · 0 attempts | Not scheduled — | 7d past | Readmit — no appointment |
Rosa Kowalski M468419 · 83y · Mesa Family Medicine (513) 625-738960d readmit | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Aug 24 | Aug 16 Aug 23 | Contacted Care coordinator · 2 attempts | Not scheduled — | 4d past | Window missed |
Bernard Mbeki M402511 · 67y · Mesa Family Medicine (287) 750-5568 | Fair Care coordinator | Inpatient Northside Medical Center | No case No plan | Aug 5 Aug 12 | Not started — · 0 attempts | Not scheduled — | 15d past | No outreach yet |
Priya Kowalski M431603 · 78y · Mesa Family Medicine (606) 396-2396Returned | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jan 31 | Jan 26 Jan 30 | Contacted Nurse case manager · 2 attempts | Completed Feb 8 · 9d | 209d past | On track |
Ingrid Lindstrom M416743 · 90y · Mesa Family Medicine (273) 590-708060d readmit | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Sep 28 | Sep 20 Sep 27 | Contacted Nurse case manager · 3 attempts | Completed Oct 1 · 4d | Met | On track |
Beatrice Guillory M495559 · 73y · Saguaro Care (336) 365-456760d readmit | Serious Nurse | Inpatient Valley Baptist | No case No plan | Feb 16 Feb 25 | Not started — · 0 attempts | Not scheduled — | 183d past | On track |
Terrance Whitmore M471774 · 80y · Mesa Family Medicine (446) 622-663160d readmit | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Nov 12 | Nov 5 Nov 11 | Unable to reach Nurse case manager · 4 attempts | Not scheduled — | 289d past | On track |
Beatrice Petrov M404900 · 72y · Saguaro Care (500) 557-7041 | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Feb 15 | Feb 13 Feb 16 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 192d past | On track |
Eleanor Haddad M454217 · 78y · Mesa Family Medicine (367) 694-1434 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jan 23 | Jan 19 Jan 23 | Contacted Nurse case manager · 2 attempts | Completed Feb 8 · 16d | 216d past | On track |
Callum Delgado M431411 · 88y · Mesa Family Medicine (251) 834-7933 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Oct 2 | Sep 26 Oct 2 | Contacted Nurse case manager · 3 attempts | Completed Oct 8 · 6d · 1 miss | Met | On track |
Eleanor Marsden M409900 · 61y · Saguaro Care (674) 890-947760d readmit | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Sep 8 | Aug 31 LOS 3d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Simone Mbeki M488927 · 91y · Saguaro Care (327) 376-208660d readmit | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Jan 31 | Jan 28 Jan 31 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 208d past | On track |
Amir Baptiste M401796 · 82y · Saguaro Care (217) 741-6368Returned | Good Care coordinator | Observation Northside Medical Center | No case No plan | Sep 4 Sep 14 | Not started — · 0 attempts | Not scheduled — | 347d past | Readmit — no appointment |
Cora Kowalski M476228 · 77y · Saguaro Care (455) 590-7241Returned | Good Care coordinator | ED Mercy General ED | No case No plan | Jul 24 Jul 24 | Attempted Front desk · 1 attempt | Not scheduled — | 34d past | Readmit — no appointment |
Rosa Ferreira M496600 · 90y · Saguaro Care (430) 403-6939 | Serious Nurse | Home Health Comfort Care at Home | No case No plan | Jun 25 Aug 1 | Unable to reach Nurse case manager · 5 attempts | Not scheduled — | 26d past | Window missed |
Imani Baptiste M495940 · 70y · Saguaro Care (558) 340-2868Returned | Good Care coordinator | Observation Mercy General | Case open Proj. DC Mar 21 | Mar 13 Mar 22 | Contacted Care coordinator · 3 attempts | Not scheduled — | 158d past | Readmit — no appointment |
Simone Tanaka M474286 · 85y · Mesa Family Medicine (321) 200-5954Returned | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Jun 13 | May 28 Jun 13 | Contacted PCP office · 3 attempts | Not scheduled — | 75d past | Readmit — no appointment |
Beatrice Mbeki M418184 · 61y · Saguaro Care (688) 336-9255Returned | Good Care coordinator | ED Valley Baptist ED | Case open Proj. DC Aug 16 | Aug 16 Aug 16 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 11d past | Readmit — no appointment |
Imani Guillory M432484 · 83y · Saguaro Care (569) 233-5215 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC May 29 | May 20 May 29 | Contacted Front desk · 2 attempts | No-show Jun 1 · 1 miss | 90d past | No-show recovery |
Hattie Marsden M432980 · 68y · Mesa Family Medicine (549) 887-1739Returned | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Nov 28 | Nov 26 Nov 29 | Not started — · 0 attempts | Not scheduled — | 271d past | Readmit — no appointment |
Willie Mbeki M421933 · 90y · Mesa Family Medicine (657) 488-6176Returned | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Dec 3 Dec 12 | Not started — · 0 attempts | Not scheduled — | 258d past | Readmit — no appointment |
Priya Petrov M453405 · 59y · Mesa Family Medicine (289) 203-7794 | Critical Nurse | Observation Mercy General | Case open Proj. DC Jul 14 | Jul 7 Jul 14 | Contacted Nurse case manager · 1 attempt | Rescheduled Jul 29 · 1 miss | 44d past | On track |
Eleanor Mbeki M400626 · 63y · Saguaro Care (371) 768-8040 | Critical Nurse | ED Mercy General ED | No case No plan | Jan 9 Jan 9 | Contacted Nurse case manager · 1 attempt | Completed Jan 14 · 5d | Met | On track |
Xiomara Salazar M438316 · 58y · Mesa Family Medicine (366) 385-650360d readmit | Serious Nurse | ED Valley Baptist ED | No case No plan | Mar 20 Mar 20 | Contacted Nurse case manager · 1 attempt | Completed Mar 22 · 2d | Met | On track |
Harold Marsden M441153 · 64y · Mesa Family Medicine (456) 764-5672 | Critical Nurse | Home Health Comfort Care at Home | No case No plan | Aug 7 Sep 2 | Contacted Nurse case manager · 3 attempts | Scheduled Sep 8 | 6d left | On track |
Simone Abernathy M433163 · 82y · Mesa Family Medicine (370) 529-1530 | Critical Nurse | Home Health Comfort Care at Home | No case No plan | Mar 31 Apr 18 | Contacted Nurse case manager · 1 attempt | Not scheduled — | 131d past | On track |
Marcus Kowalski M471064 · 71y · Mesa Family Medicine (338) 866-5851 | Critical Nurse | ED Northside Medical ED | Case open Proj. DC Dec 26 | Dec 26 Dec 26 | Contacted Nurse case manager · 3 attempts | Completed Jan 4 · 9d | 244d past | On track |
Priya Nguyen M448881 · 72y · Saguaro Care (447) 689-1008Returned | Good Care coordinator | SNF Golden Oaks Rehab | No case No plan | Feb 7 Feb 19 | Contacted Care coordinator · 3 attempts | No-show Feb 21 · 1 miss | 189d past | No-show recovery |
Terrance Ferreira M461586 · 80y · Saguaro Care (507) 789-4689 | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Oct 20 | Oct 6 Oct 19 | Contacted Front desk · 1 attempt | No-show Oct 21 · 1 miss | 312d past | No-show recovery |
Callum Petrov M488074 · 89y · Mesa Family Medicine (659) 661-3691 | Good Care coordinator | SNF Willowbrook SNF | No case No plan | Feb 14 Mar 6 | Contacted PCP office · 1 attempt | Cancelled Mar 17 · 1 miss | 174d past | No-show recovery |
Gerald Delgado M436186 · 86y · Mesa Family Medicine (274) 522-2735Returned | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Jan 23 | Jan 1 Jan 23 | Contacted Care coordinator · 2 attempts | No-show Jan 29 · 1 miss | 216d past | No-show recovery |
Ingrid Petrov M450968 · 61y · Mesa Family Medicine (236) 442-5533 | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Nov 26 | Nov 26 Nov 26 | Contacted Care coordinator · 2 attempts | No-show Dec 8 · 1 miss | 274d past | No-show recovery |
Frank Baptiste M429407 · 87y · Saguaro Care (573) 772-2539 | Good Care coordinator | Home Health Anchor Home Services | No case No plan | Jul 2 Jul 20 | Contacted Front desk · 2 attempts | No-show Jul 22 · 1 miss | 38d past | No-show recovery |
Beatrice Abernathy M456011 · 78y · Saguaro Care (433) 240-2330Returned | Fair Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Jun 23 | Jun 2 Jun 23 | Not started — · 0 attempts | Not scheduled — | 65d past | Readmit — no appointment |
Callum Sorensen M449283 · 89y · Mesa Family Medicine (446) 203-1752Returned | Fair Care coordinator | Home Health Anchor Home Services | No case No plan | Sep 16 Oct 16 | Not started — · 0 attempts | Not scheduled — | 315d past | Readmit — no appointment |
Cora Whitmore M425850 · 65y · Mesa Family Medicine (616) 692-1370 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Aug 23 | Aug 17 Aug 23 | Contacted PCP office · 2 attempts | Not scheduled — | 4d past | Window missed |
Hattie Ferreira M469023 · 61y · Mesa Family Medicine (471) 551-4400 | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Sep 2 Sep 2 | Contacted Care coordinator · 2 attempts | Not scheduled — | 6d left | Contacted, no appointment |
Ruth Abernathy M420857 · 65y · Saguaro Care (283) 705-7167 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jul 13 | Jul 3 Jul 13 | Contacted Nurse case manager · 3 attempts | Completed Jul 17 · 4d | Met | On track |
Amir Ionescu M401140 · 72y · Mesa Family Medicine (443) 598-7446 | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Dec 16 Dec 22 | Not started — · 0 attempts | Not scheduled — | 248d past | On track |
Amir Abernathy M423182 · 70y · Mesa Family Medicine (495) 495-7868 | Serious Nurse | Inpatient Mercy General | No case No plan | Mar 24 Mar 27 | Not started — · 0 attempts | Not scheduled — | 153d past | On track |
Nadia Whitmore M467753 · 72y · Mesa Family Medicine (581) 362-7997 | Serious Nurse | Inpatient Mercy General | No case No plan | Jun 23 Jun 29 | Unable to reach Nurse case manager · 5 attempts | Not scheduled — | 59d past | On track |
Callum Marsden M432774 · 88y · Saguaro Care (518) 638-5820 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jul 4 | Jun 26 Jul 5 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 53d past | On track |
Milton Okafor M436979 · 85y · Mesa Family Medicine (301) 406-6227 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Nov 14 | Nov 8 Nov 14 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 286d past | On track |
Rosa Mbeki M429031 · 71y · Saguaro Care (206) 850-697260d readmit | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Apr 15 | Apr 11 Apr 15 | Contacted Care coordinator · 1 attempt | Completed Apr 21 · 6d | Met | On track |
Jonas Guillory M453526 · 91y · Saguaro Care (663) 225-675860d readmit | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jan 7 | Jan 4 Jan 8 | Unable to reach Front desk · 5 attempts | Not scheduled — | 231d past | On track |
Priya Sorensen M408362 · 68y · Mesa Family Medicine (368) 753-3054 | Serious Nurse | SNF Riverstone Post-Acute | No case No plan | Jan 17 Feb 7 | Contacted Nurse case manager · 2 attempts | Completed Feb 22 · 15d | 201d past | On track |
Gerald Marsden M496538 · 83y · Mesa Family Medicine (472) 239-6300 | Serious Nurse | Observation St. Aldon Regional | No case No plan | Jul 21 Jul 27 | Not started — · 0 attempts | Not scheduled — | 31d past | On track |
Hattie Whitmore M420854 · 68y · Saguaro Care (662) 683-8825 | Serious Nurse | ED Valley Baptist ED | Case open Proj. DC Aug 12 | Aug 12 Aug 12 | Contacted Nurse case manager · 2 attempts | Rescheduled Aug 14 · 1 miss | 15d past | On track |
Bernard Delgado M470028 · 72y · Saguaro Care (701) 484-4578 | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Mar 21 | Mar 9 Mar 21 | Contacted Nurse case manager · 2 attempts | Rescheduled Mar 26 · 1 miss | 159d past | On track |
Ruth Chandler M415409 · 78y · Mesa Family Medicine (677) 464-6372 | Serious Nurse | ED Northside Medical ED | No case No plan | Apr 14 Apr 14 | Not started — · 0 attempts | Not scheduled — | 135d past | On track |
Terrance Rios M497249 · 75y · Saguaro Care (465) 583-3054 | Serious Nurse | SNF Ridgeway LTAC | No case No plan | Aug 16 Sep 3 | Contacted Nurse case manager · 2 attempts | Scheduled Sep 7 | 7d left | On track |
Bernard Baptiste M441794 · 59y · Mesa Family Medicine (236) 533-2390 | Serious Nurse | Home Health Anchor Home Services | No case No plan | Nov 4 Nov 29 | Contacted Nurse case manager · 3 attempts | Rescheduled Dec 15 · 1 miss | 271d past | On track |
Harold Lindstrom M421543 · 88y · Mesa Family Medicine (378) 623-4029 | Serious Nurse | Observation Northside Medical Center | Case open Proj. DC Mar 13 | Mar 6 Mar 13 | Contacted Nurse case manager · 1 attempt | Rescheduled Mar 17 · 1 miss | 167d past | On track |
Eleanor Okafor M458002 · 66y · Saguaro Care (517) 706-3660 | Serious Nurse | SNF Riverstone Post-Acute | No case No plan | Mar 2 Mar 20 | Contacted Nurse case manager · 2 attempts | Completed Mar 25 · 5d | Met | On track |
Alma Marsden M418829 · 58y · Mesa Family Medicine (489) 215-3685 | Serious Nurse | Observation Northside Medical Center | Case open Proj. DC Sep 5 | Aug 28 LOS 6d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Simone Tanaka M441995 · 74y · Mesa Family Medicine (530) 781-9469 | Serious Nurse | ED Northside Medical ED | No case No plan | May 28 May 28 | Contacted Nurse case manager · 1 attempt | Rescheduled Jun 2 · 1 miss | 91d past | On track |
Bernard Ferreira M436932 · 66y · Saguaro Care (346) 334-2467 | Serious Nurse | Observation Mercy General | Case open Proj. DC Dec 22 | Dec 12 Dec 22 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 248d past | On track |
Hattie Chandler M471610 · 80y · Saguaro Care (633) 864-580860d readmit | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Feb 11 Feb 11 | Contacted Care coordinator · 1 attempt | Rescheduled Feb 14 · 1 miss | 197d past | On track |
Eleanor Haddad M424739 · 62y · Saguaro Care (325) 875-719560d readmit | Good Care coordinator | ED Mercy General ED | Case open Proj. DC Mar 31 | Mar 31 Mar 31 | Contacted Care coordinator · 1 attempt | Rescheduled Apr 2 · 1 miss | 149d past | On track |
Beatrice Okafor M409743 · 80y · Saguaro Care (572) 295-682460d readmit | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Jan 17 | Jan 3 Jan 17 | Not started — · 0 attempts | Not scheduled — | 222d past | On track |
Frank Tanaka M459417 · 67y · Mesa Family Medicine (542) 542-280360d readmit | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Dec 24 | Dec 6 Dec 23 | Attempted Care coordinator · 1 attempt | Not scheduled — | 247d past | On track |
Marcus Haddad M447348 · 78y · Mesa Family Medicine (522) 724-138160d readmit | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Oct 20 Oct 26 | Contacted Front desk · 2 attempts | Rescheduled Nov 11 · 1 miss | 305d past | On track |
Gerald Tanaka M444757 · 73y · Saguaro Care (630) 866-380660d readmit | Fair Care coordinator | Inpatient Mercy General | No case No plan | Jun 20 Jun 28 | Not started — · 0 attempts | Not scheduled — | 60d past | On track |
Callum Haddad M449148 · 89y · Saguaro Care (341) 634-801060d readmit | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Jul 11 | Jul 6 Jul 10 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 48d past | On track |
Callum Salazar M415063 · 73y · Saguaro Care (634) 578-643860d readmit | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Mar 24 | Mar 20 Mar 25 | Contacted Front desk · 3 attempts | Not scheduled — | 155d past | On track |
Amir Sorensen M455601 · 87y · Saguaro Care (629) 723-278760d readmit | Fair Care coordinator | Inpatient Mercy General | No case No plan | Apr 27 Apr 30 | Not started — · 0 attempts | Not scheduled — | 119d past | On track |
Imani Marsden M408874 · 70y · Mesa Family Medicine (621) 495-4099 | Fair Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Aug 9 | Jul 16 Aug 8 | Contacted Care coordinator · 1 attempt | Not scheduled — | 19d past | Window missed |
Jonas Marsden M416563 · 74y · Mesa Family Medicine (242) 401-7907 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Sep 3 | Aug 31 LOS 3d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Imani Rios M414462 · 74y · Saguaro Care (603) 557-8350 | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Dec 28 Jan 6 | Not started — · 0 attempts | Not scheduled — | 233d past | On track |
Marcus Guillory M496547 · 85y · Mesa Family Medicine (383) 604-5601 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Mar 14 | Mar 6 Mar 14 | Contacted Care coordinator · 1 attempt | Not scheduled — | 166d past | On track |
Milton Ferreira M496630 · 79y · Saguaro Care (633) 636-9735 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jun 24 | Jun 20 Jun 24 | Contacted Care coordinator · 3 attempts | Completed Jun 29 · 5d | Met | On track |
Eleanor Guillory M464165 · 81y · Saguaro Care (391) 880-7543 | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Nov 13 Nov 19 | Not started — · 0 attempts | Not scheduled — | 281d past | On track |
Eleanor Nguyen M419914 · 67y · Mesa Family Medicine (539) 811-8671 | Good Care coordinator | Inpatient Mercy General | No case No plan | Apr 14 Apr 24 | Not started — · 0 attempts | Not scheduled — | 125d past | On track |
Xiomara Chandler M413800 · 72y · Mesa Family Medicine (567) 882-6794 | Good Care coordinator | Inpatient Mercy General | No case No plan | Nov 9 Nov 19 | Not started — · 0 attempts | Not scheduled — | 281d past | On track |
Otis Salazar M483745 · 62y · Saguaro Care (548) 356-4411 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Jul 12 | Jul 2 Jul 11 | Contacted Care coordinator · 3 attempts | Completed Jul 17 · 6d | Met | On track |
Dwight Sorensen M445529 · 67y · Saguaro Care (485) 300-1673 | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Apr 10 Apr 18 | Unable to reach Front desk · 4 attempts | Not scheduled — | 131d past | On track |
Nadia Lindstrom M461989 · 66y · Mesa Family Medicine (325) 786-4090 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Feb 26 | Feb 19 Feb 26 | Attempted PCP office · 1 attempt | Not scheduled — | 182d past | On track |
Willie Delgado M445021 · 70y · Saguaro Care (542) 620-7455 | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Sep 28 Oct 4 | Not started — · 0 attempts | Not scheduled — | 327d past | On track |
Cora Abernathy M472189 · 60y · Mesa Family Medicine (264) 529-1694 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Sep 24 | Sep 17 Sep 24 | Not started — · 0 attempts | Not scheduled — | 337d past | On track |
Xiomara Nguyen M469716 · 91y · Mesa Family Medicine (631) 316-2668 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Dec 13 | Dec 8 Dec 13 | Contacted Care coordinator · 3 attempts | Completed Dec 26 · 13d | 257d past | On track |
Milton Salazar M430012 · 68y · Mesa Family Medicine (229) 891-184160d readmit | Fair Care coordinator | Observation Northside Medical Center | No case No plan | Jan 14 Jan 18 | Contacted PCP office · 3 attempts | Rescheduled Feb 2 · 1 miss | 221d past | On track |
Alma Abernathy M450062 · 83y · Mesa Family Medicine (358) 542-2057 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Apr 12 | Mar 18 Apr 12 | Attempted PCP office · 1 attempt | Not scheduled — | 137d past | On track |
Jonas Baptiste M456549 · 77y · Mesa Family Medicine (515) 605-5291 | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Sep 8 | Aug 30 LOS 4d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Rosa Lindstrom M442351 · 86y · Saguaro Care (262) 333-8473 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC May 4 | Apr 10 May 4 | Not started — · 0 attempts | Not scheduled — | 115d past | On track |
Rafael Sorensen M491992 · 66y · Mesa Family Medicine (535) 700-6399 | Good Care coordinator | Observation Mercy General | No case No plan | May 25 Jun 2 | Not started — · 0 attempts | Not scheduled — | 86d past | On track |
Priya Tanaka M477301 · 88y · Mesa Family Medicine (641) 575-4811 | Good Care coordinator | ED Mercy General ED | No case No plan | Nov 29 Nov 29 | Not started — · 0 attempts | Not scheduled — | 271d past | On track |
Imani Nguyen M497713 · 63y · Mesa Family Medicine (553) 231-7986 | Good Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Feb 4 | Jan 7 Feb 4 | Not started — · 0 attempts | Not scheduled — | 204d past | On track |
Marcus Delgado M435845 · 78y · Saguaro Care (328) 458-2048 | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Mar 24 | Mar 5 Mar 24 | Unable to reach PCP office · 5 attempts | Not scheduled — | 156d past | On track |
Otis Lindstrom M487144 · 79y · Saguaro Care (698) 568-3098 | Good Care coordinator | ED Mercy General ED | No case No plan | Apr 17 Apr 17 | Attempted PCP office · 2 attempts | Not scheduled — | 132d past | On track |
Rosa Rios M415828 · 68y · Saguaro Care (316) 397-6268 | Good Care coordinator | ED Northside Medical ED | No case No plan | Mar 10 Mar 10 | Attempted Front desk · 2 attempts | Not scheduled — | 170d past | On track |
Gerald Whitmore M444543 · 81y · Mesa Family Medicine (207) 292-3857 | Good Care coordinator | Home Health Anchor Home Services | Case open Proj. DC May 25 | Apr 18 May 24 | Unable to reach Front desk · 5 attempts | Not scheduled — | 95d past | On track |
Bernard Whitmore M490635 · 73y · Mesa Family Medicine (382) 515-4247 | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Nov 22 | Nov 13 Nov 22 | Contacted PCP office · 2 attempts | Not scheduled — | 278d past | On track |
Ruth Abernathy M444984 · 85y · Saguaro Care (571) 780-6511 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Oct 5 | Sep 2 LOS 1d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Marcus Baptiste M448400 · 63y · Mesa Family Medicine (491) 556-5149 | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Nov 25 Nov 25 | Attempted PCP office · 1 attempt | Not scheduled — | 275d past | On track |
Gerald Tanaka M473217 · 59y · Mesa Family Medicine (364) 779-1714 | Good Care coordinator | ED Mercy General ED | No case No plan | Oct 13 Oct 13 | Not started — · 0 attempts | Not scheduled — | 318d past | On track |
Yuki Ionescu M495085 · 69y · Mesa Family Medicine (520) 517-7095 | Good Care coordinator | ED Valley Baptist ED | No case No plan | Jun 16 Jun 16 | Attempted Care coordinator · 1 attempt | Not scheduled — | 72d past | On track |
Hattie Chandler M484903 · 65y · Mesa Family Medicine (482) 536-7611 | Good Care coordinator | ED Northside Medical ED | No case No plan | May 16 May 16 | Not started — · 0 attempts | Not scheduled — | 103d past | On track |
Simone Mbeki M451214 · 60y · Mesa Family Medicine (302) 704-9534 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Nov 22 | Nov 1 Nov 21 | Contacted Care coordinator · 3 attempts | Rescheduled Nov 26 · 1 miss | 279d past | On track |
Milton Lindstrom M437986 · 60y · Saguaro Care (639) 777-2714 | Good Care coordinator | Home Health Comfort Care at Home | No case No plan | Oct 23 Nov 19 | Not started — · 0 attempts | Not scheduled — | 281d past | On track |
Milton Petrov M403808 · 62y · Mesa Family Medicine (683) 834-1585 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jun 13 | May 30 Jun 13 | Contacted PCP office · 1 attempt | Completed Jun 15 · 2d | Met | On track |
Lena Nguyen M429863 · 66y · Saguaro Care (568) 406-7645 | Good Care coordinator | SNF Ridgeway LTAC | No case No plan | Nov 19 Dec 1 | Contacted Front desk · 3 attempts | Completed Dec 5 · 4d | Met | On track |
Ruth Nguyen M484680 · 62y · Mesa Family Medicine (440) 471-8955 | Good Care coordinator | Home Health Comfort Care at Home | No case No plan | Apr 2 Apr 24 | Not started — · 0 attempts | Not scheduled — | 125d past | On track |
Willie Mbeki M415591 · 68y · Saguaro Care (265) 311-8303 | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Sep 16 | Sep 3 LOS 0d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Dwight Baptiste M485435 · 58y · Saguaro Care (250) 573-4127 | Good Care coordinator | Home Health Comfort Care at Home | No case No plan | Dec 12 Jan 17 | Not started — · 0 attempts | Not scheduled — | 222d past | On track |
Lena Kowalski M459457 · 87y · Saguaro Care (691) 582-4265 | Good Care coordinator | ED Mercy General ED | No case No plan | Jun 19 Jun 19 | Unable to reach Care coordinator · 3 attempts | Not scheduled — | 69d past | On track |
Imani Ferreira M455686 · 75y · Saguaro Care (491) 254-4832 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jan 15 | Dec 25 Jan 16 | Contacted Front desk · 1 attempt | Not scheduled — | 223d past | On track |
Lena Okafor M405599 · 63y · Saguaro Care (500) 665-4726 | Good Care coordinator | Home Health Anchor Home Services | Case open Proj. DC May 4 | Apr 11 May 4 | Not started — · 0 attempts | Not scheduled — | 115d past | On track |
Harold Petrov M483547 · 81y · Mesa Family Medicine (444) 851-5316 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Feb 17 | Jan 25 Feb 16 | Not started — · 0 attempts | Not scheduled — | 192d past | On track |
Beatrice Marsden M422001 · 80y · Mesa Family Medicine (612) 819-6483 | Good Care coordinator | Home Health Anchor Home Services | No case No plan | Jun 26 Jul 19 | Contacted Care coordinator · 2 attempts | Not scheduled — | 39d past | On track |
Alma Okafor M424386 · 91y · Mesa Family Medicine (665) 369-4406 | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | May 12 May 21 | Attempted Care coordinator · 1 attempt | Not scheduled — | 98d past | On track |
Cora Haddad M484342 · 83y · Mesa Family Medicine (344) 543-5893 | Fair Care coordinator | Inpatient St. Aldon Regional | No case No plan | Jun 26 Jul 1 | Not started — · 0 attempts | Not scheduled — | 57d past | On track |
Amir Okafor M435008 · 69y · Mesa Family Medicine (228) 446-7446 | Fair Care coordinator | Inpatient St. Aldon Regional | No case No plan | Mar 26 Apr 4 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 145d past | On track |
Alma Rios M449795 · 90y · Mesa Family Medicine (648) 782-7792Returned | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Apr 20 | Apr 14 Apr 20 | Contacted Care coordinator · 1 attempt | Completed May 2 · 12d | 129d past | On track |
Marcus Mbeki M465347 · 68y · Saguaro Care (608) 628-2753 | Fair Care coordinator | Inpatient Mercy General | No case No plan | Jun 23 Jul 3 | Contacted Care coordinator · 1 attempt | Not scheduled — | 55d past | On track |
Beatrice Tanaka M498829 · 85y · Mesa Family Medicine (315) 267-9661Returned | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Jan 24 | Jan 15 Jan 24 | Contacted Front desk · 1 attempt | Rescheduled Jan 29 · 1 miss | 215d past | On track |
Ruth Marsden M411541 · 60y · Mesa Family Medicine (695) 822-4466 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jun 24 | Jun 22 Jun 25 | Attempted PCP office · 1 attempt | Not scheduled — | 63d past | On track |
Rosa Chandler M434981 · 83y · Mesa Family Medicine (616) 707-7853 | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Oct 7 | Sep 27 Oct 7 | Contacted Front desk · 2 attempts | Completed Oct 21 · 14d | 324d past | On track |
Rafael Haddad M421521 · 61y · Mesa Family Medicine (304) 558-4332 | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Jun 8 | Jun 4 Jun 7 | Contacted PCP office · 2 attempts | Completed Jun 18 · 11d | 81d past | On track |
Hattie Mbeki M420490 · 73y · Mesa Family Medicine (599) 647-9907 | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Apr 28 May 7 | Attempted Care coordinator · 2 attempts | Not scheduled — | 112d past | On track |
Xiomara Tanaka M489943 · 70y · Saguaro Care (696) 214-5602 | Fair Care coordinator | Inpatient Mercy General | No case No plan | Mar 24 Mar 30 | Not started — · 0 attempts | Not scheduled — | 150d past | On track |
Beatrice Petrov M487986 · 89y · Saguaro Care (543) 745-1305 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Dec 1 | Nov 20 Nov 30 | Contacted Care coordinator · 1 attempt | Not scheduled — | 270d past | On track |
Marcus Nguyen M419732 · 63y · Mesa Family Medicine (372) 601-6478 | Fair Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Jul 17 | Jun 30 Jul 16 | Unable to reach Care coordinator · 5 attempts | Not scheduled — | 42d past | On track |
Bernard Chandler M438482 · 83y · Saguaro Care (388) 635-1582 | Fair Care coordinator | SNF Willowbrook SNF | No case No plan | Mar 10 Mar 18 | Attempted Care coordinator · 2 attempts | Not scheduled — | 162d past | On track |
Rosa Guillory M479266 · 74y · Mesa Family Medicine (291) 749-2415 | Fair Care coordinator | ED St. Aldon Regional ED | No case No plan | Nov 20 Nov 20 | Not started — · 0 attempts | Not scheduled — | 280d past | On track |
Willie Chandler M453928 · 61y · Mesa Family Medicine (310) 576-3131 | Fair Care coordinator | Observation St. Aldon Regional | No case No plan | Jun 18 Jun 24 | Not started — · 0 attempts | Not scheduled — | 64d past | On track |
Otis Haddad M477989 · 64y · Saguaro Care (583) 598-3521 | Fair Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Sep 22 | Aug 26 LOS 8d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Ruth Nguyen M448313 · 70y · Saguaro Care (651) 497-4071 | Fair Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Nov 11 | Oct 11 Nov 11 | Attempted PCP office · 2 attempts | Not scheduled — | 289d past | On track |
Xiomara Sorensen M457902 · 74y · Saguaro Care (638) 810-7812 | Fair Care coordinator | SNF Riverstone Post-Acute | No case No plan | Jun 22 Jul 1 | Not started — · 0 attempts | Not scheduled — | 57d past | On track |
Rafael Rios M411622 · 63y · Saguaro Care (546) 292-3889 | Fair Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Sep 23 | Aug 29 LOS 5d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Priya Ferreira M435629 · 74y · Mesa Family Medicine (636) 692-2173 | Fair Care coordinator | Home Health Anchor Home Services | No case No plan | Apr 2 Apr 22 | Attempted Care coordinator · 2 attempts | Not scheduled — | 127d past | On track |
Marcus Baptiste M411055 · 82y · Mesa Family Medicine (318) 680-4947 | Fair Care coordinator | ED Mercy General ED | Case open Proj. DC Jan 8 | Jan 8 Jan 8 | Contacted Care coordinator · 3 attempts | Not scheduled — | 231d past | On track |
Gerald Lindstrom M422611 · 72y · Mesa Family Medicine (636) 798-2085 | Fair Care coordinator | ED Northside Medical ED | No case No plan | Jun 12 Jun 12 | Not started — · 0 attempts | Not scheduled — | 76d past | On track |
Simone Sorensen M432995 · 70y · Saguaro Care (549) 717-8589 | Fair Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Sep 29 | Aug 27 LOS 7d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Rafael Marsden M493838 · 90y · Mesa Family Medicine (682) 538-9369 | Fair Care coordinator | ED Valley Baptist ED | Case open Proj. DC Dec 14 | Dec 14 Dec 14 | Attempted Care coordinator · 1 attempt | Not scheduled — | 256d past | On track |
Willie Mbeki M483501 · 89y · Saguaro Care (369) 233-4910 | Fair Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Sep 26 | Sep 1 LOS 2d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Bernard Mbeki M486436 · 75y · Mesa Family Medicine (387) 264-5568 | Fair Care coordinator | SNF Golden Oaks Rehab | No case No plan | Sep 20 Oct 14 | Attempted PCP office · 1 attempt | Not scheduled — | 317d past | On track |
Eleanor Whitmore M482537 · 83y · Mesa Family Medicine (512) 890-9332 | Fair Care coordinator | ED Mercy General ED | No case No plan | Nov 2 Nov 2 | Not started — · 0 attempts | Not scheduled — | 298d past | On track |
Harold Ionescu M469259 · 82y · Mesa Family Medicine (241) 531-1312 | Fair Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Sep 18 | Sep 1 LOS 2d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Ruth Haddad M473236 · 65y · Saguaro Care (584) 278-1815 | Fair Care coordinator | Observation Mercy General | No case No plan | Oct 20 Oct 24 | Not started — · 0 attempts | Not scheduled — | 307d past | On track |